This report presents the findings from the 2013 survey conducted with Latina callers to the National Domestic Violence Hotline. As in the previous Realidades Latinas survey, respondents in this survey were callers to the National Domestic Violence Hotline who identified themselves as Latina survivors of domestic violence. This survey indicated an increase in the percentage of Latina survivors who are afraid of seeking help because of immigration issues (45 percent of foreign-born Latinas in the current survey compared to 39 percent of foreign born Latinas in the 2012 survey). There were also significant challenges regarding language access. Out of those Spanish speaking callers who had sought services, 1 in 3 reported that they had encountered language access barriers.